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与椎弓根螺钉相比，皮质骨轨迹内固定术在单节段腰椎管狭窄症和退变性腰椎滑脱症的手术中具有更好的围手术期效果。

Cortical bone trajectory instrumentation provides favorable perioperative outcomes compared to pedicle screws for single-level lumbar spinal stenosis and degenerative spondylolisthesis.

作者信息

Menon Nandakumar, Turcotte Justin, Speciale Alessandro, Patton Chad M

机构信息

AAMC Orthopedics, Anne Arundel Medical Center, 2000 Medical Parkway, Suite 101, Annapolis, MD, USA.

出版信息

J Orthop. 2020 Apr 26;22:146-150. doi: 10.1016/j.jor.2020.04.001. eCollection 2020 Nov-Dec.

DOI:10.1016/j.jor.2020.04.001
PMID:32382216
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7200191/
Abstract

OBJECTIVE

To compare perioperative outcomes between cortical bone trajectory (CBT) instrumentation with pedicle screws (PS) in patients undergoing laminectomy and posterolateral fusion for single-level lumbar spinal stenosis, and degenerative grade I spondylolisthesis.

METHODS

A consecutive series of 91 patients from a single institution between January 2017 and July 2019 were retrospectively reviewed.

RESULTS

Patients in CBT group had significantly shorter operative time, lower blood loss and shorter length of stay.

CONCLUSION

CBT instrumentation demonstrated favorable perioperative outcomes that may enhance the overall value in patients undergoing laminectomy and posterolateral fusion for single-level lumbar spinal stenosis, and degenerative grade I spondylolisthesis.

摘要

目的

比较在接受单节段腰椎管狭窄症及退变性I度腰椎滑脱症椎板切除及后外侧融合术的患者中，使用皮质骨轨迹（CBT）器械与椎弓根螺钉（PS）的围手术期结果。

方法

回顾性分析了2017年1月至2019年7月来自单一机构的连续91例患者。

结果

CBT组患者的手术时间明显更短，失血量更低，住院时间更短。

结论

CBT器械显示出良好的围手术期结果，这可能会提高接受单节段腰椎管狭窄症及退变性I度腰椎滑脱症椎板切除及后外侧融合术患者的整体价值。

相似文献

1
Cortical bone trajectory instrumentation provides favorable perioperative outcomes compared to pedicle screws for single-level lumbar spinal stenosis and degenerative spondylolisthesis.与椎弓根螺钉相比，皮质骨轨迹内固定术在单节段腰椎管狭窄症和退变性腰椎滑脱症的手术中具有更好的围手术期效果。
J Orthop. 2020 Apr 26;22:146-150. doi: 10.1016/j.jor.2020.04.001. eCollection 2020 Nov-Dec.
2
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1997 Volvo Award winner in clinical studies. Degenerative lumbar spondylolisthesis with spinal stenosis: a prospective, randomized study comparing decompressive laminectomy and arthrodesis with and without spinal instrumentation.1997年沃尔沃临床研究奖获得者。退变性腰椎滑脱伴椎管狭窄：一项前瞻性随机研究，比较单纯减压椎板切除术和融合术（有无脊柱内固定）。
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Minimally-Invasive midline posterior interbody fusion with cortical bone trajectory screws compares favorably to traditional open transforaminal interbody fusion.采用皮质骨轨迹螺钉的微创中线后路椎间融合术与传统开放经椎间孔椎间融合术相比具有优势。
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[Comparison of cortical bone trajectory screw fixation and pedicle screw fixation in posterior lumbar fusion].[皮质骨轨迹螺钉固定与椎弓根螺钉固定在后路腰椎融合术中的比较]
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Minimally invasive lumbar pedicle screw fixation using cortical bone trajectory - Screw accuracy, complications, and learning curve in 100 screw placements.使用皮质骨轨迹的微创腰椎椎弓根螺钉固定术——100枚螺钉置入的螺钉准确性、并发症及学习曲线
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Incidence of Osteoporosis-Related Complications Following Posterior Lumbar Fusion.腰椎后路融合术后骨质疏松相关并发症的发生率
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Prognostic factors associated with best outcomes (minimal symptom state) following fusion for lumbar degenerative conditions.与腰椎退行性疾病融合后获得最佳结果（最小症状状态）相关的预后因素。
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Trends in isolated lumbar spinal stenosis surgery among working US adults aged 40-64 years, 2010-2014.2010 - 2014年美国40 - 64岁在职成年人中孤立性腰椎管狭窄症手术的趋势。
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Critical analysis of trends in lumbar fusion for degenerative disorders revisited: influence of technique on fusion rate and clinical outcomes.对退行性疾病腰椎融合术趋势的批判性分析再探讨：技术对融合率和临床结果的影响
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After Posterior Fusions for Adult Spinal Deformity, Operative Time is More Predictive of Perioperative Morbidity, Rather Than Surgical Invasiveness: A Need for Speed?后路融合术治疗成人脊柱畸形后，手术时间对围手术期并发症的预测作用大于手术侵袭性：是否需要加快速度？
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